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Virginia rates for HCPCS J7605

Arformoterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 15 mcg

Facilitymedian $2 · 10th–90th $1–$320%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.00 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.00 / $2.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.95
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $1.23 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.45 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $2.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.72 / $18.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.76 / $5.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.76 / $0.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.95 / $2.63
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.95 / $2.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.69 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.72 / $0.79